Testicular Pain: Common Concerns and Care Tips

Q: Testicular Pain: Common Concerns and Care Tips

Hello： The left testicle sometimes experiences slight pain. <br>I have previously undergone urinalysis, ultrasound, and physical examination, all of which were normal, so there shouldn't be any issues, right? --> Is it beneficial to massage the testicles before sleep, or could it

Testicular issues

Hello, doctor.
I have a question: sometimes I experience slight intermittent pain in my left testicle.
I have previously undergone urinalysis, ultrasound, and physical examination, all of which were normal, so I assume there is no issue, right? Is it beneficial to massage the testicles before bed, or could it be harmful? Also, is it normal for ejaculation to mostly occur in a flowing manner? Is it normal for urination to be segmented towards the end? Thank you for your answers.

Andy, 30~39 year old female. Ask Date: 2021/07/02

Dr. Du Shixi reply Urology

Hello: The left testicle sometimes experiences slight pain.
I have previously undergone urinalysis, ultrasound, and physical examination, all of which were normal, so there shouldn't be any issues, right? --> Is it beneficial to massage the testicles before sleep, or could it be harmful? --> It's not necessary; mainly, it's important to wear loose underwear to avoid heat and that ejaculation is mostly fluid, which is normal? --> Everyone is different; is it common for urination to occur in segments towards the end? --> Spend some time walking each day, and try not to sit for long periods.
Wishing you good health.

Reply Date: 2021/07/02

More Info

Testicular pain can be a concerning symptom, and it's good that you've already taken steps to investigate it through urinalysis, ultrasound, and physical examination, all of which have returned normal results. This is a positive sign, as it suggests that there may not be any serious underlying conditions affecting your testicles.

Testicular pain can arise from various causes, including but not limited to:
1. Epididymitis: Inflammation of the epididymis, often due to infection.

2. Orchitis: Inflammation of the testicle, which can also be caused by infections.

3. Testicular torsion: A medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. This typically presents with severe, sudden pain and requires immediate medical attention.

4. Hernias: An inguinal hernia can cause discomfort in the testicular area.

5. Trauma or injury: Any recent injury to the groin area can lead to pain.

6. Varicocele: Enlarged veins within the scrotum that can cause a dull ache or discomfort.

Given that your tests have come back normal, it is less likely that you have a serious condition. However, if the pain persists or worsens, it is essential to follow up with a healthcare provider for further evaluation.

Regarding your question about massaging the testicles before sleep, gentle massage can sometimes help with relaxation and may improve blood circulation. However, it is crucial to be gentle and avoid any aggressive manipulation, as this could potentially lead to discomfort or injury. If you experience pain during or after massage, it would be advisable to stop and consult a healthcare professional.

As for your concerns about ejaculation and urination, it is normal for ejaculation to occur in a fluid manner. The process can vary from person to person, and as long as there is no pain or discomfort associated with it, it is generally considered normal.
Regarding urination, it is not uncommon for urine flow to change as the bladder empties, leading to a segmented flow. This can happen due to various factors, including bladder contraction and relaxation, and is usually not a cause for concern unless accompanied by pain, burning, or other unusual symptoms.

In summary, while your previous tests indicate that there is likely no serious issue, it is essential to monitor your symptoms. If the pain continues or if you develop new symptoms, such as swelling, redness, or fever, it would be prudent to seek further medical evaluation. Always trust your instincts about your body; if something feels off, don't hesitate to consult a healthcare professional.

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